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March 18, 2025

What Happens During a Facelift?

A facelift, medically known as rhytidectomy, is a cosmetic surgical procedure aimed at reducing visible signs of aging in the face and neck. This procedure tightens sagging skin, removes excess fat, and enhances facial contours to provide a more youthful appearance. While the specifics of a facelift may vary based on individual needs, the general steps involved remain largely consistent. This guide provides a detailed step-by-step breakdown of what happens during a facelift surgery.

Understanding the Facelift Procedure

Facelift surgery has gained popularity worldwide due to its effectiveness in addressing wrinkles, sagging skin, and loss of facial definition. Many individuals seek a facelift in Dubai because of the advanced medical facilities and experienced surgeons available. Before undergoing the procedure, patients must have a thorough consultation with their surgeon to discuss their goals, medical history, and the best surgical approach for their needs.

Consultation and Pre-Surgery Preparation

Before the actual procedure, a patient undergoes a comprehensive consultation with a qualified plastic surgeon. During this session, the surgeon evaluates the patient's facial structure, skin elasticity, and overall health. Based on the assessment, they determine the most suitable facelift technique, whether it be a traditional facelift, mini facelift, or deep-plane facelift.

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Patients receive detailed pre-surgery instructions, which may include lifestyle changes such as stopping smoking, avoiding blood-thinning medications, and maintaining a healthy diet. Additionally, blood tests and other medical evaluations ensure the patient is fit for surgery.

Administering Anesthesia

On the day of the surgery, the first step is administering anesthesia to ensure a painless and comfortable experience. Depending on the patient’s health condition and the extent of the facelift, the surgeon may use either general anesthesia (which puts the patient to sleep) or local anesthesia with sedation (where the patient remains awake but does not feel pain).

Making the Incisions

Once the anesthesia takes effect, the surgeon makes strategic incisions based on the chosen technique:

  • Traditional Facelift: Incisions are made along the hairline, extending around the ears and sometimes under the chin for better contouring.

  • Mini Facelift: Smaller incisions are placed around the ears, suitable for individuals with mild sagging.

  • Deep-Plane Facelift: Incisions similar to a traditional facelift, but the adjustments go deeper into the facial tissues for long-lasting results.

Surgeons place these incisions discreetly to minimize visible scarring while allowing for optimal skin tightening and repositioning.

Lifting and Repositioning the Facial Tissues

Once the incisions are made, the surgeon lifts and repositions the underlying muscles, fat, and connective tissues. This step is crucial in creating a natural and youthful look, as merely pulling the skin tight can result in an unnatural appearance.

Depending on the technique used, the surgeon may:

  • Tighten the superficial musculoaponeurotic system (SMAS) layer to provide long-lasting lift.

  • Remove or reposition fat deposits for better facial definition.

  • Adjust the deeper layers of tissue for more significant, long-term results.

Removing Excess Skin and Closing the Incisions

After repositioning the underlying structures, the surgeon trims any excess skin to ensure a smooth, youthful appearance. The skin is then carefully draped back into place, avoiding an overly tight or stretched look.

To close the incisions, surgeons use:

  • Dissolvable or removable sutures to secure the skin.

  • Surgical staples in certain areas of the scalp.

  • Adhesive skin glue to promote faster healing.

The surgeon ensures the incisions are neatly closed to reduce scarring and achieve a natural-looking outcome.

Applying Bandages and Drain Placement

Once the procedure is complete, bandages are applied around the face to minimize swelling and support the newly repositioned tissues. In some cases, small drainage tubes may be placed under the skin to prevent fluid buildup. These tubes are typically removed within a day or two post-surgery.

Recovery and Healing Process

The initial recovery period lasts about two to three weeks, with the following common post-surgery experiences:

  • Swelling and bruising: These are normal side effects that subside gradually.

  • Mild discomfort: Pain medication may be prescribed to manage any discomfort.

  • Follow-up appointments: Patients must visit their surgeon for check-ups to monitor healing progress and remove stitches if necessary.

  • Avoiding strenuous activities: Patients should refrain from heavy lifting and intense exercise for at least four weeks to allow proper healing.

Over time, the face continues to heal, and the final results become more visible within three to six months. The facelift results typically last for several years, depending on lifestyle and skincare maintenance.

Conclusion

A facelift is a transformative procedure that can significantly improve facial appearance by reducing sagging skin and wrinkles. Understanding the step-by-step process helps individuals feel more prepared and confident about undergoing this surgery. By choosing a skilled surgeon and following proper post-surgery care, patients can achieve natural and long-lasting rejuvenation.

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